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Child Welfare Reform CouncilAugust 5, 2014
Transition of Children in Foster Care, Receiving Adoption Assistance and Select Youth in Juvenile Justice to
Amerigroup Georgia
Georgia Families 360°: Primary Goals
• Improve health outcomes through intensive case management
• Integrated coordination of all health care services• Engagement of primary care physicians and dentists• Comply with and support state and federal policies• Foster permanency and long term independence
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Ways of Reaching Our Goals • All members have a medical and dental home• Ensure all members have access to preventive
care and screenings • Providers adhere to clinical practice guidelines
and evidence-based medicine • Improve health outcomes and chances for
successful child welfare outcomes• Improving assessment timeliness for foster
youth
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Community Collaboration– Court Improvement
Initiatives– Family Preservation– GA Dental Association– GA American Academy of
Pediatrics– Regional Intake Centers
• CHOA• Kaiser-Permanente
Planning for Implementation
Amerigroup Planning• Staffing - 90 new hires• Training• Town Halls• Network Access &
Contracting• Information System
Enhancements• Revised P&P and Member Handbooks
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GF 360 Program Requirements• Scope: Provide coordinated care across multiple services to Georgia Foster Care
membership while demonstrating improvement in member health outcomes• Requirements driven by federal foster care and Kenny A Decree
– Care Coordination Team– Enhanced Provider Network– 24/7 Intake Communication Center– Ombudsman Team– Psychotropic Medication Management Program– Dental and Medical Home– Trauma informed and System of Care training across all agencies– Virtual Health Record– Advocacy Engagement and Steering Committee– Enhanced interagency collaboration– Standardized reporting and monitoring– Value Based Purchasing
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Georgia Families 360°By the Numbers
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DADE
CHATTOOGA
WALKER
CHEROKEE
HARALSON
GORDON
DOUGLAS
RABUN
JACKSON
MURRAY
GILMER
FORSYTH
CATOOSA FANNIN
LUMPKIN
BARTOW
PICKENS
FLOYD
PAULDING
COBB
POLK
UNION
TOWNS
FRANKLIN
WHITE
STEPHENS
DAWSON HALL
OGLETHORPE
BANKS
COWETA
MADISON
GWINNETT
CLAYTON
CLARKE
HART
FULTON
HEARD
DEKALB
FAYETTE
LAMAR
HENRY
NEWTON
SPALDING
CARROLL
TROUP
HANCOCK
PIKE
MORGAN
JEFFERSON
BARROW
WALTON
OCONEE
ELBERT
GREENE
WILKES
JASPER BUTTS
UPSON
LINCOLN
WARREN
PUTNAM
COLUMBIA
BURKE
WASHINGTON
BALDWIN JONES MONROE
WILKINSON
BIBB
CRAWFORD TWIGGS
BLECKLEY
EMANUEL
JOHNSON
JENKINS
SCREVEN
BULLOCH
DODGE
HOUSTON
PEACH
TALBOT
HARRIS
MUSCOGEE
CHATTAHOOCHEE
MARION
STEWART SUMTER
SCHLEY DOOLY
PULASKI
WILCOX TELFAI
R
WHEELER
BEN HILL LEE
TERRELL
RANDOLPH
QUITMAN
WORTH
DOUGHERTY CALHOUN CLAY
CRISP
TURNER
TIFT
COFFEE
JEFF DAVIS
TREUTLEN
TOOMBS
APPLING
TATTNALL
WAYNE BACON
COLQUITT
MITCHELL
EARLY BAKER
SEMINOLE
DECATUR GRADY THOMAS
BROOKS
COOK
LOWNDES
ECHOLS
LANIER
ATKINSON
WARE
PIERCE
BRANTLEY
CHARLTON
CAMDEN
GLYNN
LONG
LIBERTY
BRYAN
MCINTOSH
EFFINGHAM
CHATHAM
CANDLER
EVANS
IRWIN
BERRIEN
MILLER
RICHMOND
TAYLOR
CLINCH
TALIAFERRO
MCDUFFIE
MACON MONTGOMERY
WEBSTER
GLASCOCK
ROCKDALE
MERIWETHER
HABERSHAM
WHITFIELD
LAURENS
Atlanta
North
East
Central
Southeast
Southwest
•Membership (~23,051 as of July 2014)
•
Tennessee
South Carolina
Florida
Alab
ama
Georgia Families 360° REGION BREAKDOWN
Region Member CountAtlanta 12,420
Central 2,851
East 1,138
North 2,751
Southeast 2,076
Southwest 1,815
Georgia Families 360° COUNT BY PROGRAM
Program Member CountAdoptive Assistance 12,937
Foster Care 9,464
Juvenile Justice 236
CHAFFEE(Former Foster Care) 185
Temporay Newborns 229
GF 360 Numerical DataSummary
• 82%of all total membership located in 51 of 159 counties across the state
• Top 5 counties: Fulton, DeKalb, Gwinnett, Cobb, Clayton
• Top 5 BH Diagnosis: ADHD, Psychosis, Conduct DO, Depressive DO, Affective DO
• Male 52%: Female 48%• 0-6=24%; 7-12=31%; 13-18=39%; >19=4.3%• Members between 17-20 = 3577
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QUESTIONS?
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August 2014
Center for Medicaid and Medicare Innovation Grant Overview
Georgia Families 360 Youth Transitioning Out of Foster Care
Key Grant Points• Target Statement: Keep youth engaged in their health care and service
systems so that they will utilize more primary and preventive care in lieu of high cost facility based settings.
• Target Population: Youth with greatest need of comprehensive services to help them obtain positive outcomes associated with well-being:– In Foster Care for 12 months or greater– Age 17-20 residing in group home setting– Documented history of behavioral health needs
• Targeted Counties: Fulton, DeKalb, Gwinnett, and Cobb. Bibb County (Macon, Ga to reflect the rural imprint).
• Participant Number Targets: Year 1: 126; Year 2: 396; Year 3: 720
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Key Grant Points (cont.)
Proposed Measures of Success: • Percent reduction in hospitalization due to mental
health/substance use issues• Percent increase in access to PCP/PCD• Change in pregnancy behavior (increase in FP, actively
using contraception, longer pregnancy intervals• Percent increase in employment (increase over a given
time period, such as six months)• Percent increase in enrollment in secondary and post-
secondary education (grade progression, graduation rate, GED attainment, post-secondary enrollment
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QUESTIONS?
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